<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010209547
Report Date: 11/18/2025
Date Signed: 11/18/2025 05:03:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/08/2025 and conducted by Evaluator Diana Campos
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20251008113306
FACILITY NAME:BETH SHOLOM PRESCHOOLFACILITY NUMBER:
010209547
ADMINISTRATOR:CHASE, AMANDAFACILITY TYPE:
850
ADDRESS:642 DOLORES AVENUETELEPHONE:
(510) 357-8505
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:49CENSUS: 33DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Amanda ChaseTIME COMPLETED:
05:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure the facility was free of pests
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA D. Campos met with center Director Amanda Chase for a complaint investigation regarding the above allegation. Present for the investigation were 10 staff and 33 preschool children in care. During the investigation, interviews were conducted and files and records reviewed. Interviews disclosed that evidence of rodents were found inside the facility premises. Interviews also disclosed that an immediate deep cleaning of the areas was conducted including more frequent exterminator visits as part of the facility's ongoing pest prevention plan.
Based on the LPA's observations, interviews conducted and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Div. & Chapter #(102416.2)), are being cited on the attached LIC 9099D.
Exit interview conducted and report reviewed with center Director Amanda Chase.

A Notice of Site Visit was provided and must remain posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 52-CC-20251008113306
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BETH SHOLOM PRESCHOOL
FACILITY NUMBER: 010209547
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/25/2025
Section Cited
CCR
101238(a)(1)
1
2
3
4
5
6
7
Title 22, Division 12 Chapter 1 Article 07. Physical Environment 101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety......(1)The licensee shall take measures to keep the center free of flies, other insects, and rodents.
1
2
3
4
5
6
7
The facility has submitted a copy of their ongoing correction plan detailing methods and procedures currently in place to correct and prevent further pest infestation. The facility has conducted corrective measures within the landscaping and cleaning protocols. The deficiency has been corrected as of today.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Interviews disclosed that evidence of rodents were found inside the facility premises which poses a potential risk to the health and safety of the children in care.

8
9
10
11
12
13
14
The facility has contracted a new pest control company to better serve the facility needs to prevent pest infestation. The facility is conducting daily morning inspections.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2